MalfunctionIXY
GENESYS
Received Aug 27, 1999 · Event occurred Nov 23, 1998
Report 2916556-1999-00139 · MDR key 237817
Device
Generic name
Nuclear Medicine Equipment
Manufacturer
Adac LaboratoriesModel number
2129-3011ACatalog number
NA
Lot number
NA
Product problems
- Device Alarm System
- Unintended Collision
- Failure to Sense
- Sensor problems
- Other (for use when an appropriate device code cannot be identified)
Patient
*
- Therapy/non-surgical treatment, aborted/stopped
- Therapy/non-surgical treatment, additional
Narrative
Description of Event or Problem
WHEN DOING A PREPROGRAMMED BONE SCAN ON A PT, THE DETECTOR CONTACTED THE PT'S HEAD BUT THE COLLIMATOR COLLISION SENSING DEVICE DID NOT ACTIVATE. THE TECH HAD TO STOP THE PROCEDURE MANUALLY. THE PT DECLINED ANY MEDICAL EXAMINATION AND LEFT. THE FOLLOWING DAY HE RETURNED AND REC'D AN X-RAY AND CT.
Remedial action
- Other